Comparison of population characteristics and clinical outcomes of patients with type B aortic dissection or aortic intramural hematoma underwent thoracic endovascular aortic repair: a propensity score-matched analysis

Journal of Cardiothoracic Surgery

Research

Lei Zhang¹  Nan Zhang¹  Tie-nan Zhou¹  Xiao-zeng Wang¹  Ying Min¹  Tian-shu Xu² 

[1] Department of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, 110016, Shenyang, Liaoning, China;Department of Cardiology and Cardiovascular Research Institute, General Hospital of Northern Theater Command, 110016, Shenyang, Liaoning, China;China Medical University, 110122, Shenyang, Liaoning, China;

关键词: Acute type B aortic intramural hematoma;    Acute type B aortic dissection;    Thoracic endovascular aortic repair;   

DOI  :  10.1186/s13019-023-02280-8

 received in 2022-11-25, accepted in 2023-04-05,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundsSurvival and aortic-related adverse events after thoracic endovascular aortic repair (TEVAR) for aortic intramural hematoma (IMH) and aortic dissection (AD) are controversial. We aimed to assess the preoperative characteristics and to evaluate TEVAR outcomes of acute type B IMH and AD.MethodsBetween June 2002 and May 2021, 83 patients with acute type B IMH and 755 patients with acute type B AD underwent TEVAR at the General Hospital of Northern Theater Command. We retrospectively analyzed data from these patients, including clinical characteristics and follow-up outcomes.ResultsThe patients with IMH were significantly older than the ones with AD (P < 0.001). Diabetes mellitus (P = 0.035) and ischemic cerebrovascular disease (P = 0.017) were more common in the IMH group than in the AD group. The results demonstrated a less long-term aortic-related death-free survival rate in the IMH group than the AD group for all the patients (P = 0.014) and the matched patients (P = 0.027). It also presents a lower long-term overall survival rate (P = 0.047) and aortic-related event-free rate (P = 0.048) in the IMH group than in the matched patients.ConclusionsCompared with AD patients, patients with IMH who underwent TEVAR had a worse long-term outcome of aortic-related survival in all and matched patients.

【 授权许可】

CC BY   
© The Author(s) 2023

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